Ketorolac injection, 15 mg at WTH Dyersburg Hospital. CPT J1885.
What WTH Dyersburg Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$1.09cash price (self-pay)
$12.72list price
$0.30–$42.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Affairs | Community Care Network | $0.30 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $0.31 |
| Cigna | HMO/Network/Open Access Plus | $0.34 |
| Cigna | IFP/LocalPlus | $0.34 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $0.38 |
| River Valley Plan | TennCare | $0.38 |
| Celtic Insurance Company | Commercial-Exchange | $0.47 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $1.11 |
| Blue Cross Blue Shield of Tennessee | Network P | $1.78 |
| Aetna | Whole Health | $6.22 |
| Aetna | New Business Discount - Commercial | $6.50 |
| Aetna | VHAN - Employee Networks | $6.86 |
| Aetna | Commercial | $8.17 |
| Home State Health Plan | MO HealthNet Medicaid | $12.72 |
Inpatient
$1.09cash price (self-pay)
$12.72list price
$1.85–$42.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | New Business Discount - Commercial | $6.50 |
| Aetna | Commercial | $8.17 |
| Home State Health Plan | MO HealthNet Medicaid | $12.72 |
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